RecruitingPhase 2NCT05671822

Ph1b/2 Study of the Safety and Efficacy of SHR-A1811 Combinations in Advanced HER2 Expression Gastric Cancer

A Phase Ib/II Study of SHR-A1811 Combinations in Patients With Advanced/Metastatic HER2 Expression Gastric /Gastroesophageal Junction Adenocarcinoma


Sponsor

Suzhou Suncadia Biopharmaceuticals Co., Ltd.

Enrollment

258 participants

Start Date

Mar 14, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This is an open,multicentre phase Ib/II study. The purpose of phase Ib is to evaluated the safety, tolerability, pharmacokinetics, immunogenicity, and preliminary antitumor activity of SHR-A1811 in combination with chemotherapy and/or immunotherapy in HER2 expression advanced/metastatic gastric/gastroesophageal junction adenocarcinoma patients. The Phase II study was designed to evaluate the efficacy and safety of SHR-A1811 in combination with chemotherapy and/or immunotherapy for advanced/metastatic HER2 expression gastric/gastroesophageal conjunctional adenocarcinoma patients.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria7

  • Age from 18 to 75, Male and female participants
  • Local advanced unresectable or metastatic disease Pathologically documented adenocarcinoma of gastric or gastroesophageal junction;
  • HER2 expression ;
  • Phase Ib: Failed or intolerant to prior standard treatment, or did not receive any systemic anti-tumor therapy; Phase II: previously untreated patients;
  • ECOG 0-1;
  • The expected survival ≥3 months;
  • Sufficient bone marrow and organ functions;

Exclusion Criteria8

  • There were ascites, pleural effusion and pericardial effusion that needed to be treated;
  • Major surgery was performed within 4 weeks;
  • Have active autoimmune disease or history of autoimmune disease;
  • Patients with interstitial pneumonia;
  • There was severe infection within 4 weeks before starting the study treatment;
  • Patients with active pulmonary tuberculosis infection history within 1 year before enrollment;
  • Serious cardiovascular and cerebrovascular diseases;
  • Gastrointestinal perforation and/or gastrointestinal fistula occurred within 6 months before enrollment;

Interventions

DRUGSHR-1316 and SHR-A1811

(Arm 2B) Drug: SHR-A1811, administered as an IV infusion Drug: SHR-1316, administered as an IV infusion

DRUGSHR-A1811 and capecitabine

(Arm 2C) Drug: SHR-A1811, administered as an IV infusion Drug:capecitabine, administered orally;

DRUGSHR-A1811, SHR-1316, and 5-FU

(Arm 2D) Drug: SHR-A1811, administered as an IV infusion Drug: SHR-1316, administered as an IV infusion Drug:5-FU,administered as an IV infusion

DRUGSHR-A1811and 5-FU

(Arm 2E) Drug: SHR-A1811, administered as an IV infusion Drug:5-FU,administered as an IV infusion

DRUGSHR-A1811 and SHR-1701

(Arm 1A) Drug: SHR-A1811, administered as an IV infusion Drug: SHR-1701, administered as an IV infusion;

DRUGSHR-A1811 and capecitabine

(Arm 1B) Drug: SHR-A1811, administered as an IV infusion Drug:capecitabine, administered orally;

DRUGSHR-A181, SHR-1701, and capecitabine

(Arm 1C) Drug: SHR-A1811, administered as an IV infusion Drug: SHR-1701, administered as an IV infusion Drug:capecitabine, administered orally;

DRUGSHR-A1811, SHR-1316, and capecitabine

(Arm 1D) Drug: SHR-A1811, administered as an IV infusion Drug: SHR-1316, administered as an IV infusion Drug:capecitabine, administered orally;

DRUGSHR-A1811, SHR-1316, capecitabine,and oxaliplatin

(Arm 1F) Drug: SHR-A1811, administered as an IV infusion Drug: SHR-1316, administered as an IV infusion Drug:capecitabine, administered orally; Drug:oxaliplatin,administered as an IV infusion

DRUGSHR-A1811, SHR-1316, and 5-FU

(Arm 1G) Drug: SHR-A1811, administered as an IV infusion Drug: SHR-1316, administered as an IV infusion Drug:5-FU,administered as an IV infusion

DRUGSHR-A1811, SHR-1316, and capecitabine

(Arm 2A) Drug: SHR-A1811, administered as an IV infusion Drug: SHR-1316 administered as an IV infusion; Drug:capecitabine, administered orally;

DRUGSHR-A1811, SHR-1316, capecitabine,and oxaliplatin

(Arm 2F) Drug: SHR-A1811,administered as an IV infusion Drug: SHR-1316, administered as an IV infusion Drug:capecitabine, administered orally; Drug:oxaliplatin,administered as an IV infusion


Locations(1)

Zhongshan Hospital, FuDan University

Shanghai, Shanghai Municipality, China

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NCT05671822